A9570 Medicaid Rate by State

Indium in-111 labeled autologous white blood cells, diagnostic, per study dose

13 state Medicaid programs publish a fee-for-service rate for A9570 (indium in-111 labeled autologous white blood cells, diagnostic, per study dose), ranging from $551.38 in Nevada to $4,799.35 in Montana.

Every state, kept current

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This page shows one representative rate per state for A9570. Full schedules include every locality, modifier, and age-band variant.

  • Every code on all 51 published schedules
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Publishing states

13

Median % of Medicare

--

Rate range

$551.38 - $4,799.35

A9570 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$1,048.03*----2026
Arizona$979.82----2026
Idaho$4,146.64--Not required2025
Kentucky$1,103.19----2026
Michigan$576.97----2026
Minnesota$1,612.16----2012
Missouri$992.87--Not required2026
Mississippi$1,103.19----2026
Montana$4,799.35----2026
Nebraska$4,496.24----2026
Nevada$551.38----2024
Oklahoma$972.37----2026
Washington$4,799.35----2026

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related dme & supplies codes

All 76 codes from A9274 to A9800 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for A9570?

13 state Medicaid programs publish a fee-for-service rate for A9570 (indium in-111 labeled autologous white blood cells, diagnostic, per study dose), ranging from $551.38 in Nevada to $4,799.35 in Montana. The full table on this page lists every publishing state's current rate.

Which state pays the most for A9570?

Montana publishes the highest Medicaid rate for A9570 at $4,799.35. Nevada publishes the lowest at $551.38.

Does A9570 require prior authorization under Medicaid?

No publishing state flags A9570 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.